Fever in Children

My child has a fever, what do I do?

It is very common for children to get sick, especially if they are in daycare or school. It is very common for children to get a fever when they are sick. Fever will not hurt your child. Fevers usually go away after 3 days. The degree (height) of a fever does not tell you how serious your child’s illness is. It is more important to see how your child looks and acts!

When should I see a doctor?

1. Your child has a fever and is less than 6 months old
2. The fever is lasting for more than  2-3 days AND they are not already getting better. If they are already getting better, they will probably continue to get better.
3. Is excessively cranky, fussy, or irritable
4. If excessively sleepy, lethargic, or does not respond
5. Is persistently wheezing or coughing
6. Has a fever combined with a rash or other symptom (e.g. pulling one of their ears constantly) that worries you.
7. Is struggling to breathe or breathing very rapidly.

What should I do if my child has a fever?

1. Keep your child comfortable and offer plenty of fluids
2. Remove extra blankets and clothing so heat can escape and lower the body temperature
3. Do not take off all their clothing, because they could get cold, start shivering, and make their temperature go up again
4. Give acetaminophen (e.g. Tylenol, any age is ok) or ibuprofen (e.g. Advil, ok >6 months old)
5. Do not give other cough/cold medications to children under 6 years old

Medications

Medications like acetaminophen (e.g. Tylenol, Tempra) or ibuprofen (e.g. Advil, Motrin) can help reduce the fever, reduce pain, and reduce discomfort. The medications do not treat the source of the fever, but just help the child feel better.

Give the recommended dose on the medication package based on your baby’s body weight.  Ibuprofen and acetaminophen are safe to take at the same time! Do not give ibuprofen to babies under 6 months without first talking to your doctor. Do not give aspirin.

References: Canadian Paediatric Society